The Sleep Apnea Solution You Haven't Tried

These are interesting and trying times across the globe. Novel Coronavirus (COVID-19) is spreading and the world is grappling with new realities and possibilities. In this time of stress and worry there is a high probability that you may not be getting much sleep. Worst of all, the sleep you get may lack quality restoration. A far greater concern is that you are going to bed with a device over your face looking like a villain from a DCTM Batman comic.

Ah, the continuous positive airway pressure machine we so lovingly shorten to CPAP, as a pleasantry. The sun sets and the dark night rises to reunite you with modern medicine’s most unattractive accessory. (Pun intended, we gotta laugh to make it through 😄 otherwise we would cry.)

What are the alternatives to CPAP?

As the standard of care, CPAP, sits tall and strong, but not alone. Many try alternative measures ranging from dental appliances to reconstructive surgery to find resolve. Such as nasal strips, holistic medicines, cognitive behavioral therapy, bulky silicone appliances, aromatherapy, nasal dilators, orthodontics, and mandibular advancement surgery, among many other possibilities. None of aforementioned nonsurgical options are permanent solutions, very few resolve the source of problem, and minimal are comfortable.

With a prevalence almost equalvent to type 2 diabetes, what are the approximately 18 million Americans to do after fielding through numerous alternatives?

Resort to cosplay every night with a loud machine over their heads. Struggling with either keeping it on or ripping it off and annoying their partner with loud snoring and startling gasps.

How do you know if myofunctional therapy is the right solution?

There are a few key requirements to be a good candidate for myofunctional therapy

Sleep study results–

It is most effective for adults and children with mild to moderate obstructive sleep apnea. Sleep apnea can be obstructive, central or mixed. Obstructive sleep apnea involves a narrowing or blockage of the upper respiratory passage during sleep. This creates an abrupt stop in breathing that results in choking or gasping for air. Central sleep apnea involves a disruption in breathing caused by failed signaling of the brain to respiratory muscles. Mixed sleep apnea is a combination of both. Myofunctional therapy works best in obstructive sleep apnea, rarely in mixed and not at all in central. A sleep study will allow your physician to accurately diagnosis the type and degree of sleep disorder present.

Mouth breathing–

Mouth breathing is an inefficient method of respiration and should be used only as a last resort during nasal congestion or obstruction. When done during sleep it leaves the upper respiratory tract even more susceptible to collapse as the tongue and pharyngeal muscles relax back. If you find that during the day your lips stay open (even slightly) and you have difficulty breathing through your nose, you may be a good candidate for myofunctional therapy.

Dental or ENT (otolarygologist or ear, nose, throat) evaluation

Even those with both mouth breathing habits and diagnosed sleep apnea may be beyond the capabilities of myofunctional therapy. Physical or anatomical barriers may inhibit nasal breathing and progression in orofacial neuromuscular strength. Enlarged tonsils, adenoids, deviated septum, and enlarged turbinates, to name a few, may need medical intervention prior to seeing benefits from any sleep apnea treatments. A thorough evaluation from a sleep dentist and/or and ENT will guarantee concrete answers as to whether you can do alternative treatments or if you need surgical interventions.

How to improve sleep during the coronavirus crisis

While you may be awaiting the return of non-emergent health services to see a sleep physician or ENT, here are a few tips to help you improve your sleep in the interim.

Those who are at home are in a great position to take time to invest in themselves during this time. Self-care is key to achieving a better mindset and decreasing the stress load. Do add in a new self-care aspect into your routine, one that is easy to maintain post quarantine. Something as simple as learning a new hobby or journaling. Winding down the mind as much as possible before bed, preps the body for the initial stages of sleep where brain activity will slow naturally.

Be consistent with your night time routine. Do not make drastic changes in your routine due to being at home. This will result in altering your biological clock and make the transition back to a regular schedule more difficult.

Consider doing a daily nasal hygiene routine. I highly recommend Pronto Sleep, a nasal dilator with built in aromatherapy. Aromatherapy has been known to aid in nasal decongestion and patency. The dilator holds open the nostrils to allow for better air flow and decreases the soft tissue narrowing that would cause snoring.

Finally, myofunctional therapy, even in the interim of the quarantine can improve sleep dramatically by engaging in better breathing practices to allow for deeper sleep as the brain will have optimum oxygenation during REM restoration. Teletherapy options are readily available.

Takeaways

The struggle for a good alternative for sleep apnea treatment does not have to result in joining a local villain league or doing nothing. A long term, non invasive treatment exists that will improve your sleep while putting your fears to rest. The best candidates for myofunctional therapy have had a sleep study and a diagnosis by their medical provider of mild or moderate sleep apnea. However, you can make simple changes while you await those screenings. If you already fit the criteria for myofunctional therapy, schedule an appointment today for a FREE virtual consultation.

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Published by airwaymatters

Karese Laguerre is a Registered Dental Hygienist and Orofacial Myologist. In her years of working with various patient populations in the dental field, she encountered similar trends and limitations in dental malocclusion and mouth-breathing. The correlation between the two became even more relevant as her own children grew in age and with the pursuit of extensive hours in continuing education she achieved training in treating the primary cause, improper oral resting posture. She is passionate about the education of airway matters to the general public.
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